If your hormones are in decline but you're not ready to lose your period, you're in the right place.
Look closer if you're noticing:
You want relief. But you don't want to give up your monthly rhythm.
We get it. That's exactly why we created this program.

Maintaining your cycle may feel more natural to you. Our program helps steady your periods without stopping them completely—so you can feel like yourself again.

Support your natural rhythm and cycle regularity. Help your body work with its hormonal patterns through each phase of the month.
We heard it again and again:
I want hormone therapy for my symptoms, but I don't want to lose my period. I'm still in my 40's! Whenever you can offer cyclic dosing, let me know—I'll sign up tomorrow.
So our medical team went to work. We removed the daily progesterone from the cream and give you the power to cycle the progesterone capsules to honor your body's nature. Same symptom relief. Same physician oversight. But now, you can maintain your natural monthly rhythm.
This isn't a compromise. It's hormone therapy designed for women who want both.
We treat every woman the way we'd want to be treated—Golden Rule Care, always.

"Women's bodies are incredibly designed. For my patients who are still cycling, and wish to maintain that, I believe in supporting their natural rhythm while providing the relief they need. That's what cyclic dosing does—it honors both."
Here's how it works with your body's natural design
Your Hormone Wholeness Therapy is compounded for your unique needs. It includes a topical daily hormone cream and progesterone capsules, when appropriate - customized to YOUR levels!

Your progesterone comes in pill form, so you can pause it at the right time each month. This allows your body to maintain its natural menstrual cycle.

If prescribed the Hormone Wholeness Therapy, the cyclic option directions will be included.

Not sure if cyclic dosing is right for you? That's okay. We offer both approaches with the same level of care.
Same customization. Same physician oversight. Same quality care.
The only difference is what feels right for your body.

Experience life with restored hormones via Kiaora’s comprehensive approach to sex hormone replacement. Hormone Wholeness Therapy includes a custom-compounded BHRT hormone cream (Estradiol, Testosterone, and DHEA*) and vegan-friendly, dye- and filler-free Progesterone capsules, crafted to support your body naturally.
Why Choose Bioidentical Hormones via the Kiaora method? Bioidentical hormones are exactly like the natural sex hormones produced by your body. Kiaora creams deliver these hormones through transdermal application (via the mucosal inner labia). The hormones bypass your liver so they stay in their safest and most natural state in your body. Inner labia application allows you to receive direct, efficient hormone absorption, ensuring your body gets the full benefit. It also removes risk of exposure to children and pets.
Benefits of Each Hormone:
Symptom Relief & Long-Term Health Benefits: This powerful combination can provide significant relief from the symptoms of hormone decline, including:

Experience the rejuvenating power of Collagen Assist Cream, a localized facial cream with DHEA, Estriol, and high-weight Hyaluronic Acid designed to boost collagen production for firmer, thicker, and more elastic skin. This innovative cream is formulated with non-systemic hormones, ensuring the benefits are targeted to your skin without affecting your body’s overall hormones.

Rediscover comfort and confidence with Foxy Mama Cream, a vaginal cream formulated with DHEA and Estriol to address vaginal atrophy, dryness, and libido without systemic hormones. This localized cream nourishes and restores vaginal tissues, enhancing moisture, elasticity, and sexual vitality, offering targeted relief for improved vaginal health.

Climax Cream is specially formulated to enhance sensitivity and boost blood flow to the clitoral region for heightened sexual pleasure. Featuring ingredients like theophylline, arginine, and sildenafil, it helps many women achieve orgasm. Apply 15-30 minutes before intimacy for an intensified, more satisfying experience.






We begin by assessing your symptoms, health history, and hormonal needs. Each treatment is tailored specifically to you.
Based on your needs, we develop a plan using bioidentical estrogen, progesterone, testosterone, and DHEA.
As your body changes, your therapy evolves. Your treatment will be regularly fine-tuned to ensure you always feel your best. If you decide cyclic dosing isn't for you, you can switch to continuous dosing anytime. Your therapy evolves with you.
It’s not just about fixing symptoms—it’s about a healthier aging experience in the long run.
I knew my hormones were starting to rev two months into the program. The reason I knew my hormones were back, I was chasing my husband twice a day a few times that month!! My husband said, “I need to lose some weight & take vitamins to keep up with you!! Praise praise!

I SLEEP!! Like, deep good sleep!!! Rip Van Winkle don’t have nothing on me!! I’m calm, I’m cool, I have my "Smexy" back, and I have my laugh and smile is back.

I’m a changed woman since starting the program. My brain is functioning so much better. My depression , which I did not realize had become so bad, has lifted. My constant joint pain has all but disappeared. I am also recovering from such a loss of self-identity due to all the pain and illness I’ve suffered since my menopause went untreated for so long.


Please note that Pearl and Serene are not physicians or clinicians. The information they provide is based on conversations with physicians and extensive research and should not be construed as medical advice. Anyone considering our program will undergo evaluation by a team of qualified practitioners to determine their suitability for therapy.